MISS MARY COLLEEN MACK LCPC
NPI 1851682181
Counselor - Mental Health in Decatur, IL
About Miss Mary Colleen Mack Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS MARY COLLEEN MACK LCPC (NPI 1851682181) is an individual mental health provider in Decatur, Illinois, licensed in Illinois (180007722) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Mary Colleen Mack Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Mack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Decatur, IL 62523
- Reassigned Medicare billing, Illinois enrollment
- 38 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Mack's NPI number?
The NPI number for Mary Mack is 1851682181. It was assigned to this individual provider in the NPPES registry on April 20, 2011.
Where is Mary Mack located?
Mary Mack practices at 151 N Main St, Decatur, IL 62523. The listed phone number is (217) 362-6262.
What is Mary Mack's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mary Mack enrolled in Medicare?
Yes. Mary Mack is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Mack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Mack reassigns Medicare benefits to Heritage Behavioral Health Center Inc. (Decatur, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Mack was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Miss Mary Colleen Mack, LCPC · NPI 1851682181
Mental Health provider in Decatur, Illinois. Individual provider, active in the CMS NPPES registry since April 20, 2011.
## Identity
- **NPI:** 1851682181 (Entity type: Individual)
- **Enumerated:** April 20, 2011
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 180007722 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 151 N MAIN ST, Decatur, IL 62523-1206
- **Phone:** (217) 362-6262
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Heritage Behavioral Health Center Inc. (NPI 1023708880, Decatur, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** September 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1851682181) · Data from the CMS NPPES public registry.